IndividualActive
Kanesha Anderson
NPI 1245892199 · Community/Behavioral Health Agency · Peoria, AZ
Provider details
- NPI number
- 1245892199
- Entity type
- Individual
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Sex
- Female
- Sole proprietor
- Yes
- License
- BH5607 (AZ)
Specialties & taxonomies
Agencies
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8910 W Monroe St
Peoria, AZ 85345-6440
Phone: (623) 248-4347
Fax: (623) 248-4355
Street-level locationGet directions
Mailing address
12384 W Hazelwood St
Avondale, AZ 85392-4275
Registry dates
- Enumerated
- 2019-07-01
- Last updated
- 2019-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.